nursing across scotland
TRANSCRIPT
Bringing QNIS into the 21st
Century
DR JULIA QUICKFALL
Promoting Excellence in Community
Nursing across Scotland
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Century 2 | P a g e
The Queen’s Nursing Institute Scotland
The Queen’s Nursing Institute Scotland (QNIS) is a Scottish Charitable Organisation that aims to promote excellence in primary care and community nursing in Scotland. The major focus is:
The welfare of the retired Queen’s Nurses
The professional development of nurses working in primary care and community nursing
The promotion of innovation and research within primary care and community nursing
© The Queen’s Nursing Institute Scotland 2014
Published by The Queen’s Nursing Institute Scotland
31 Castle Terrace
Edinburgh
EH1 2EL
Tel. 0131 229 2333
Email: [email protected]
Web: www.qnis.org.uk
Acknowledgements
I would like to thank the QNIS office staff, QNIS Trustees, Committee Members, colleagues and
volunteers who have supported the activity of the organisation. QNIS would not have achieved so
much without your commitment and support.
Julia Quickfall
February 2014
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Contents
Bringing QNIS into the 21st
Century ........................................................................................................ 4
Foreword ............................................................................................................................................. 4
Introduction ........................................................................................................................................ 4
Meeting OSCR Requirements ............................................................................................................. 5
New QNIS Governance structures ...................................................................................................... 5
The QNIS Advisory Committee (AC) .................................................................................................... 6
AC Objectives: ................................................................................................................................. 6
QNIS Education and Professional Development Committee (EDPC) .................................................. 6
EPDC Objectives: ............................................................................................................................. 6
QNIS Practice, Innovation and Research Committee (PIRC) ............................................................... 7
PIRC Objectives: ............................................................................................................................... 7
The QNIS Welfare Committee ............................................................................................................. 7
The QNIS Nominations Committee ..................................................................................................... 7
Strategic Review 2011 ......................................................................................................................... 8
QNIS Activity ....................................................................................................................................... 9
Community Nursing Education and Professional Development Activity .......................................... 12
QNIS Fellowship Award Programme ............................................................................................. 12
Celebration of community nursing milestones ................................................................................. 13
QNIS Education Grants and Scholarships.......................................................................................... 14
Practice, Innovation and Research Activity ...................................................................................... 15
The impact of QNIS funding and activity .......................................................................................... 18
Conclusion ......................................................................................................................................... 18
Works Cited ....................................................................................................................................... 19
Appendix ........................................................................................................................................... 19
Table 1 QNIS Council Trustees 2014 and previous members ........................................................... 19
Table 2 QNIS Honorary Fellows ........................................................................................................ 20
Table 3 QNIS Advisory Committee 2013 (previously Joint Nursing Committee) .............................. 20
Table 4 QNIS Education and Research Committee 2013 (formerly Education Committee) ............ 20
Table 5 Practice Innovation and Research Committee (previously Projects Committee) ................ 21
Table 6 Welfare Committee members and Voluntary Visitors 2013 ................................................ 21
Table 7 QNIS Fellows 2013 ................................................................................................................ 22
Table 8 QNIS Annual conferences and workshops 2003-2013 ......................................................... 23
Table 9 QNIS Education and Research/EPDC Grants 2003-2013 ...................................................... 24
Chart 1 Numbers of Education Grants awarded by QNIS ................................................................. 25
Table 10 QNIS PIRC Projects Funded 2002-2013 .............................................................................. 25
Table 11 Delivering Dignity Projects 2013 ........................................................................................ 26
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Bringing QNIS into the 21st
Century
Foreword
Over the last 125 years QNIS has raised the profile and promoted leadership within community
nursing. This leadership has ranged from the early years of providing district nurse training and
supervision of employed community nurses to the modern day of enabling professional and practice
development as well as supporting the welfare of retired Queen’s Nurses.
The QNIS training function ceased in 1970 and QNIS became more focused on its charitable role.
However, as QNIS moved into the 21st
century the role of charities was under much greater scrutiny.
QNIS faced three major challenges to modernise the Institute. There was a need to change the
constitution to ensure the organisation was fit for purpose and met the requirements of the Office
of the Scottish Charity Regulator (OSCR). Secondly, the Institute required improved governance
structures to provide greater transparency and ensure a strategic approach to the acquisition and
use of its assets. The third major challenge was to review QNIS activity to ensure that it addressed
new national policy, the professional and practice development issues for community nurses in
Scotland and would meet 21st
century health issues.
This report documents the changes within QNIS over the last 10 years, as a brief historical record. It
notes the structural changes required to fulfil its charitable objectives. Moreover it provides a stock
take of QNIS activity between 2003 and 2013, which may be useful for new individuals joining the
organisation, as part of their induction, as well as inform future strategic development.
Introduction
The Queen’s Nursing Institute Scotland (QNIS) is currently a Scottish Charitable Incorporated
Organisation, (SCIO number SC005751) that aims to promote excellence in community nursing in
Scotland. QNIS is an independent organisation that has been honoured with Royal Patronage since it
was established almost 125 years ago in 1889, when Princess Louise, Marchioness of Lorne,
daughter of Queen Victoria became the Scottish President. Queen Elizabeth, The Queen Mother was
the patron of QNIS; her death in 2002 was a major loss and QNIS contributed to a memorial garden
in the Royal Botanical Gardens Edinburgh in 2006. Her Majesty Queen Elizabeth II agreed to become
QNIS Patron in February 2003 and currently remains our patron.
QNIS was registered as a charity in 1915, but operated mainly as a training Institute for Queen’s Nurses and Health Visitors until 1970. It owned a large amount of property on Castle Terrace, which
was used as administrative offices, classrooms and a large Nurses Home. Towards the end of the
twentieth century, QNIS moved away from a training role to focus on its charitable work. The larger
part of the Castle Terrace property was sold and the proceeds were invested to provide an income
for the charity; only a small office was retained for administrative purposes.
Various fund managers have managed the QNIS investment portfolio over the years. The QNIS office
property is held separately from the other assets within a registered company, known as The
Scottish Queen’s Institute Nominees Ltd. Generally the charity worked within a limited budget,
whilst seeking partnership working with other organisations. QNIS is extremely grateful for the
annual contribution from Scotland’s Gardens, which is used to fund the welfare of the retired
Queen’s Nurses, the education and professional development of community nurses and innovative
community based projects.
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Meeting OSCR Requirements
QNIS faced several challenges in meeting the new OSCR requirements for charities in the 21st
century. The QNIS constitution had been amended several times since its Royal Charter of 1899. By
the end of the 20th
century, QNIS held a wide charitable remit for supporting community nursing and
in particular:-
a. For the training, support, welfare and maintenance of persons acting as nurses for the sick and
as midwives and health visitors, and the undertaking of preventative and supervisory work for
securing health.
b. To co-operate with other agencies, bodies and persons in carrying out any of the above
objects with power to make grants of money or to otherwise assist such agencies, bodies and
persons in furtherance of such objects.
Following the implementation of the Charities and Trustee Investment (Scotland) Act 2005, OSCR
was established in 2005.QNIS required registration on the new OSCR register to continue its
charitable work. Sir David Carter, the then Chair of QNIS, revisited the constitution to ensure QNIS
was compliant with the OSCR charity criteria. A revised QNIS constitution was adopted in 2008 to
reflect OSCR expectations of charitable activity and to make the organisation fit for purpose. The
new constitution focused on three major areas of activity, namely:
The relief of former Queens Nurses who are in need by reason of age, ill health, disability,
financial hardship or other disadvantage
The advancement of education, training and professional development of persons acting as
community nurses for the sick and as community midwives and health visitors, and
The improvement of health through research, preventative and supervisory work undertaken
in the community.
QNIS was granted OSCR registration in 2008. A Trustees Report is submitted to OSCR annually
following the AGM.
QNIS Becomes a SCIO in 2012
Subsequent to QNIS registration with OSCR in 2008, the decision to become a Scottish Charitable
Incorporated Organisation (SCIO) was taken in 2011. This change of charitable status was seen to be
desirable as a SCIO provides greater financial protection for Trustees should the charity become
insolvent. The change to become a SCIO produced a large volume of work for the office staff. A new
constitution was required, which enabled the old organisation to be closed and a new organisation
with the same name immediately opened as a SCIO. Assets from the old organisation were required
to be transferred from old QNIS to SCIO QNIS. OSCR granted QNIS SCIO status in 2012. The major
difficulty with this SCIO transfer has been the acquiring of a new business bank account providing
workable, favourable terms and conditions. The banking issues have yet to be fully resolved.
New QNIS Governance structures
The 2008 constitution enabled improved governance structures to be introduced.
Revised QNIS Council
In applying the new QNIS constitution, the General Purposes and Finance Committee was replaced
by a slimmed down QNIS Council, comprising of up to 12 members to act as QNIS Trustees. QNIS
Council now meets quarterly to provide financial governance and strategic direction. A list of past
and current members is to be found in Table 1 in the appendix. Currently the QNIS Chair is Miss
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Anne Jarvie, CBE, and the Vice Chair is Dr Mike Winter. The Honorary Secretary is Mrs Jane Walker,
who has a specific responsibility for the Welfare Committee. The Honorary Treasurer is Mr John
Lawrie, who oversees the financial governance of the organisation.
QNIS Council Trustees have a generic role to ensure that the Charity meets the aims and objectives
defined in the QNIS Constitution. New Trustees are appointed with a view to their expertise in
aiding the work of QNIS; some members may provide more specific expertise, depending on their
experience, in relation to strategic development, nursing research, nursing education, nursing policy
and practice. The tasks associated with this role include:
Being an ambassador for QNIS
Ensuring QNIS compliance with Scottish charity law
Ensuring effective governance of the Charity
Taking collective responsibility for Council decisions
Sharing a sense of purpose in the delivery of the aims and objectives of the QNIS Constitution
Providing a specific expertise in relation to Community Nursing in Scotland.
Following the review of the constitution, changes were also made to titles of the QNIS committees.
Although the Welfare Committee remained the same (it was difficult to come up with a better title),
Joint Nursing Committee became the Advisory Committee, the Education Committee became
Education and Practice Development Committee and the Projects Committee evolved into the
Practice Innovation and Research Committee (PIRC). QNIS awards Honorary Fellowships each year to
recognise those committee colleagues who have made a special contribution to the Institute. A list
of Honorary Fellows can be found in Table 2 the Appendix.
The QNIS Advisory Committee (AC)
The Advisory Committee (Formerly the Joint Nursing Committee) comprises the current chairs of
EDPC, PIRC and Welfare Committees and a QNIS Fellow representative. Professor Julie Taylor chairs
the committee (see Table 3), which aims to provide strategic direction to enable QNIS to fulfil its
charitable work in accordance with the QNIS Constitution and resources available.
AC Objectives:
To review the reach and impact activity of QNIS during the previous year
To develop QNIS strategy in relation to available funding for the next 2-3 years
To identify current priorities for community nursing in Scotland in relation to the policy and
practice context
To authorise activity for coming year
QNIS Education and Professional Development Committee (EDPC)
The Education and Professional Development Committee aims to provide support for the education
and continuous professional development of community nurses in Scotland. Jane Cantrell (NHS
Education) chairs the committee and Jane Harris is the Vice Chair. The EPDC Membership is drawn
from community nursing colleagues in Higher Education, RCN and practice (see Table 4).
EPDC Objectives:
To manage the QNIS Education and Professional Development Award budget.
To oversee the management and development of the QNIS Fellowship Award programme.
To provide community nurses in Scotland with opportunities for professional debate and
discussion through an annual conference and other workshop or seminar events.
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QNIS Practice, Innovation and Research Committee (PIRC)
The Practice, Innovation and Research Committee (PIRC) aims to promote the development of
community nursing services through the funding of innovative community based projects. QNIS is
extremely grateful for the financial support provided by Scotland’s Garden Scheme to take forward
this work. Professor Debbie Tolson (University West of Scotland and Alzheimer UK) chairs PIRC and
the Vice Chair is Linda Smith (NHS Grampian). The PIRC Membership is drawn from colleagues with a
policy, practice or academic remit. The full membership can be found in Table 5 in the appendix.
PIRC Objectives:
To manage the Practice, Innovation and Research budget
To review the guidelines, consider current applications and award the funding of community
based projects and research, Partnership in Practice Scotland (PiPS) and Partnership in
Research Scotland (PiRS) Awards.
To oversee the progress of QNIS funded projects and research.
To facilitate the dissemination of knowledge gained from QNIS funded projects.
To provide a report for the Scotland's Gardens Scheme
To consider and provide opportunities for building community nursing research capacity in
Scotland.
To provide opportunities for project leads to disseminate their findings through presenting at
QNIS annual conference and other events.
The QNIS Welfare Committee
The Welfare Committee, consisting of QNIS Chairman of Council, Hon. Secretary Jane Walker, Nurse
Director, Welfare Officer and Voluntary Visitors. The full membership can be found in Table 6 the
appendix. The Welfare Committee meets twice each year, usually before the Annual Gathering in
June and in October. Lady Morton established a voluntary system of Visitors during the late 20th
century. The aim of the Visiting Service is to provide contact, a source of support and advice to the
retired Queen’s Nurses, who now number about 450 nurses. Twenty Voluntary Visitors throughout
Scotland provide an annual visit, usually completed between April and October, to retired Queen’s Nurses aged over 80 years old in their area.
All QNIS visitors are members of the Welfare Committee. At Welfare Committee meetings mutual
problems are discussed together with the Visitors' requests for telephone grants, gardening grants,
and special needs grants. Christmas gifts for QNs over 80s with 21 years of service in the community
are currently £60. The visitors’ expenses are refunded and all Visitors are eligible for a free holiday at Crieff Hydro each year.
The QNIS Nominations Committee
The Nominations Committee meets once a year or when Committee vacancies occur. It is chaired by
Prof Julie Taylor and comprises the QNIS Chair, two other members of QNIS Council and the Nurse
Director.
The Nominations Committee was established in 2007 to make recommendations to QNIS Council on
membership of Council and the Chairs of its various committees. The Chairs of each QNIS committee
are appointed for 3 years; their position is renewable up to a maximum of 9 years; they may or may
not choose not to be Council Trustees. The Chair of each committee in collaboration with the Nurse
Director agrees membership of the other QNIS committees.
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In making recommendations to Council to fill committee vacancies, the Nominations Committee
takes account of the conditions set out in the QNIS Charter and the QNIS mission; the need to
achieve a balance of members from constituencies relevant to QNIS Charter and mission; the
geographical spread in order to be as inclusive as possible and the workload on individual members.
Strategic Review 2011
Miss Anne Jarvie replaced Sir David Carter as chair of QNIS Council at the AGM in November 2010.
The change of QNIS chair provided an opportunity to review QNIS strategy and activity
Left: Miss Anne Jarvie and Sir David Carter
A strategy day to review QNIS
activity took place in January 2011.
It enabled an articulation of QNIS
core values and to consider how well
QNIS was achieving its charitable
objectives. The following QNIS core
values were agreed at the strategy
day.
Core Value Relevance to QNIS Activity
Professionalism Committed and responsive to community nursing professional issues at
national level
Independent
Status
Influencing national policy and practice to improve health in Scotland
Integrity Communicating and working with individuals and partner organizations with
trust, openness, honesty and fairness
Promoting
Service
Development
Promotion of innovation and empowerment of community nurses to develop
quality nursing services in Scotland.
Caring
Organization
Valuing QNIS staff and supporting others to achieve their potential.
Providing welfare support for retired Queens Nurses and financial support for
professional development through education, projects and research awards.
Sharing of
Knowledge and
Expertise
Proactively sharing new knowledge and expertise.
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QNIS Core Values 2011
The outcome of the strategy meeting was to commission a review of QNIS activity (Bradbury Jones,
2011). Dr Bradbury Jones recommended in her report the continuation of the welfare work with
retired Queen’s Nurses, the scaling down of Education grants and bursaries, but an increased emphasis on the Fellowship Award programme. The report also noted the difficulties of providing
equitable funding for projects across Scotland. She recommended improving communication
systems to ensure all NHS Trusts were aware of QNIS activity, and the collection of demography data
on a routine basis.
The Advisory Committee accepted these recommendations and also implemented recommended a
major structural change, whereby the Honorary Secretary reported on Welfare activity to the
Advisory Committee and not directly to Council as previously.
QNIS Office Staffing
Following the constitution change, an internal QNIS office review was carried out in 2010 to consider
office procedures, staff roles and terms and conditions of employment. Sir David Carter (Chairman),
John Lawrie (Hon Treasurer), Merrill Whalen (then Hon Secretary) and John Griffiths acted as a
subgroup to undertake the review. The subgroup made recommendations for the implementation of
a QNIS pension scheme and improved internal processes of dealing with invoices.
QNIS currently has five office staff. Julia Quickfall was the QNIS Nurse Director and Chief Executive
from September 2003 to February 2014. The Nurse Director role involves the development of a
portfolio of charitable activity supporting community nursing in Scotland, in line with the QNIS
constitution. In her Chief Executive role, the Nurse Director provided strategic leadership in the
development of the organisation. Mrs Fiona Watson, QNIS Treasurer provides financial and
management accounting support to the organization and reports directly to the Nurse Director. She
has been in post since 2001 in a part-time capacity. Mrs Angie Henney was appointed in 2008 to a
new role of part-time Projects Co-ordinator. She facilitates the development project proposals and
supports Project Leads from project inception to the delivery of the final report. Mrs Lee Anne
Mitchell is the part-time Executive Secretary; she joined the organisation in 2010. She supports the
Nurse Director and carries out administrative duties arising from the work of EPDC, PIRC and
Advisory Committee. Ms Dawn Cruse joined QNIS in 2012 as the part-time Administration and
Welfare Officer. Her role is to manage the QNIS office and the procurement of supplies; ensure the
functioning of QNIS Council and support the Welfare Committee of Voluntary Visitors.
QNIS Activity
Over the last 10 years, QNIS activity has centred on the promotion of excellence in community
nursing at national, health board and local level. This activity has involved two major strands of
work; professional development and practice innovation and research.
QNIS Information System
QNIS communicates and works with a network of colleagues throughout Scotland. A new
information system has gone live in January 2014 to provide a working database of contacts for the
communication of QNIS activity through different mediums. The database also enables a historical
record of activity to be compiled.
The QNIS website, www.qnis.org.uk, provides information about the organisation, funding
opportunities, project reports and advance notice of events. An email newsletter is distributed every
two months, or as appropriate to marketing events and conferences. A printed Christmas newsletter
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is sent out to the retired Queen’s Nurses and QNIS Committee colleagues to keep them up to date with current activity. More recently QNIS has established a twitter page; new events are tweeted to
our followers whenever possible.
Influencing national policy for community nursing in Scotland
Community nursing almost became a Cinderella service during the late 20th
century, perhaps due to
its invisibility (The Queen's Nursing Institute and English National Board, 2002). Although there had
been the promise of increased NHS Scotland investment in community health and nursing services,
there was little change. The CPHVA cited a lack of effective leadership, exclusion as equal partners in
healthcare planning, low professional self-esteem and the need for a career pathway in its briefing
paper to drive forward quality improvement of district nursing services (CPHVA, 2003).
The importance of community health and nursing services to supporting and maintaining people in
their own homes was not fully recognised until the end of the 20th
century. Since the millennium the
call to shift the balance of care to the community has grown stronger (NHS Scotland, 2005). The
Kerr Report in 2005 identified the need for modernisation to ensure sustainable, integrated, safe
local services that are proactive rather than reactive, embrace new technology, encourage the
development of new skills and keep people at the centre of care delivery. This ideology has
underpinned Scottish policy for community nursing over the last decade.
In 2006, the Scottish Executive carried out a Review of Nursing in the Community (RONiC) (The
Scottish Government, 2006). The generalist role of Community Health Nurse (CHN) was heralded as
the way forward, to provide patients and families with a single point of contact and to avoid
duplication of work. The new CHN role, a combination of district nursing, health visiting, school
nursing and family health nursing, was initially piloted in four Health Boards across Scotland.
Julia Quickfall attended RONIC Programme Board meetings between 2007 and 2009. There was a
lack of evidence supporting the introduction of a new generalist CHN role; QNIS commissioned a
series of Focus Groups during 2007 and 2008 to document the views of educationalists, senior
managers and community nursing practitioners to the RONiC proposals (Queen's Nursing Institute
Scotland, 2007).The key themes emerging throughout the focussed group discussions were the
participants’ lack of engagement with the CHN ideology; they were not convinced of the need for the CHN generalist role and expressed concerns regarding the difficulties of maintaining
competence across a wide range of skills.
The RONIC programme concluded in late 2009. A Scottish Government MNiC Programme Board was
established to support the NHS Boards to take forward locally the Modernisation of Nursing in the
Community (MNiC) and facilitate the shifting of resources from acute care to community settings.
Three works streams of children and young people; people at work; and older people living at home
were established to bring together national policy and evidenced based practice. The MNiC website
brings this information together and is now hosted by NHS Education for Scotland.
Community nursing remains as important as ever to delivering quality patient care, but requires
modernisation to develop and maintain a full range of skills to enable people to live in their own
home. Integrated community nursing and social care services are also essential to quality patient
care. QNIS has been involved in supporting the implementation of the MNiC agenda in several ways.
QNIS was sponsored by the Scottish Government to provide two series of workshops to aid the
modernisation of community nursing. In 2011 a workshop entitled ‘Making the most of your
community nursing teams’ was provided in Aberdeen, Glasgow, Stirling and Edinburgh. These
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workshops built upon the Releasing Time to Care initiative and aimed to prompt nurses to consider
how they could make their community nursing teams more efficient and effective.
QNIS provided a second series of workshops in 2012, ‘Using Technology to promote person centred care’. These workshops provided powerful examples of how technology could improve the quality of
life for people with long term conditions or children in hospital away from family. Most notably,
Margaret Brown, Community Nurse Consultant in NHS Ayrshire and Arran and her team provided a
presentation on the use community wards to enable people with long term conditions remain at
home. These workshops were best received in Aberdeen, where tele-health and tele-care have
become more commonplace in the delivery of care over the last few years.
Community Nursing Professional Discussions
QNIS hosted two professional discussion events during 2008 and 2009, to explore the values
underlying community nursing practice. The events also considered how these values would fit or
conflict with the new CHN role.
Figure 1. Model of community nursing values that impact on quality of care of the patient, client or community.
The first workshop identified the participants’ philosophical positions underlying community nursing, whilst the second considered how these values were used in practice and impacted on the outcomes
of care. The workshop discussions were recorded on flipchart paper as statements. Six themes
emerged from the analysis of the statements and are presented as Core Values (see Figure1 above).
The six core values identified by community nurses are as follows:
1. Placing the patient, client and community at the centre of care delivery
This value now underpins person centred care: it recognises the nurse’s role to work in partnership, advocate on behalf of patients and provide anticipatory care planning,
2. The use of interpersonal relationships in the delivery of care
Interpersonal relationships are key to the effective delivery of community nursing care, using
a non-judgemental and individual approach to care.
Community Nursing Value Base
1. Patient,
Client or
Community
2. Relationship centred
care
6. Demonstrate the
impact/outcome of
care
5. Team work
&
collaborative
working
4. Decision Making
Using an evidence base
3. Duty of care
Health needs
assessment.
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3. Duty of Care
A robust holistic assessment of nursing and social health needs underpins a duty of care,
which should align with the appropriate use of NHS resources.
4. Making care decisions using an evidence base
Risk assessment and patient safety are now a major part of community nursing practice.
Community nurses should demonstrate the use of evidence to inform care decisions.
5. Teamwork and collaborative working
Community nursing teams need to work efficiently within a single or multi-disciplinary context
in partnership with carers but often assume care responsibility until other professional
organisations can take over these roles.
6. Demonstrating an impact and outcome of care
Audit and research can quantify the impact of community nursing, to identify short and long
term health gain for patients, families and communities. However, more sophisticated
outcome tools are still required.
The above values identified at the QNIS professional discussions embrace the patient at the centre
of care. The importance of interpersonal relationships in the delivery of care is recognised. However,
the increasing professionalism of community nursing is seen in the need for its own evidence base to
underpin decision-making, the development of team working and the need to demonstrate an
impact and outcome of care.
Community Nursing Education and Professional Development Activity
QNIS promotes the education and professional development of community nurses in Scotland
through:
The QNIS Fellowship Award Programme.
Celebration of community nursing milestones
The pilot of the Community Nurse Consultant role
Annual conferences and workshop programmes
QNIS Education Grants and Scholarships,
Long service awards
QNIS Fellowship Award Programme
The QNIS Fellowship Award is a work based learning leadership programme, currently accredited by
Queen Margaret University at level 10. There are currently 36 QNIS Fellows, who support the work
of QNIS in various ways (see Table7).
Lis Cook originally conceived the idea of the Fellowship By Assessment (FBA) programme and Wyeth
Pharmaceuticals provided sponsorship in 2001. Seven community nurses took part in the pilot
programme, which was evaluated positively in autumn 2003. Version II was launched in 2005 by Mrs
Jane Walker, then Nursing Officer at the Scottish Executive. Eileen Cameron facilitated the
programme between 2006 and 2013. The Burdett Trust for Nursing awarded QNIS £30,000 in 2006
for the development of the Fellowship. This Burdett funding provided the candidates with an
attractive programme. Queen Margaret University accredited the Fellowship By Assessment
programme at level 9 in 2008.
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By 2012 the candidate numbers had
started to diminish, the programme
required revision and re-
accreditation with Queen Margaret
was due. A Fellows Forum agreed
that re-accreditation should be
sought at level 10. In reapplying for
accreditation, the Fellowship Award
programme was rewritten to be not
only more demanding of the
candidates, but also to be more
closely linked to the Knowledge and
Skills Framework (KSF).
The new Fellowship programme accredited at level 10 was launched at the Fellows Forum event,
prior to the Annual Gathering at Crieff in June 2013. Eileen Cameron also retired as the Fellowship
Facilitator. QNIS has now agreed to work with 2 regional Fellowship facilitators, Pauline Waugh and
Fiona Cook. The next steps are to market the new programme and re-evaluate the programme in
autumn 2014.
Celebration of community nursing
milestones
QNIS has celebrated various community
nursing milestones over the last few years.
The 150 years anniversary of district nursing
was recognised in 2010 through a wonderful
display of memorabilia at the Annual
Gathering event at Crieff Hydro.
A second event in 2010 to mark this
anniversary was held in partnership with
Queen Margaret University. A similar but
smaller scale event was held in 2012 to
celebrate 150 years of public health nursing
and the Diamond Jubilee of our Patron, Queen Elizabeth II. Again this anniversary was marked by a
joint event with Queen Margaret later in the year.
Pilot of the Community Nurse Consultant role
As part of the celebration of 150 years of district nursing in 2010, QNIS funded a pilot of a generalist
Community Nurse Consultant (CNC) role in partnership with NHS Ayrshire and Arran. Nurse
Consultant roles had been established within the UK 10 years previously to provide leadership in
expert nursing practice; research; education and training; and service development. The Nurse
Consultant role is complex and highly demanding. The post holder requires academic, professional,
managerial, interpersonal and time management skills to cope effectively with a large workload and
competing agendas arising from four major areas of activity. Moreover, the role requires a
supportive working environment and management structure.
The aim of this pilot project was to investigate the benefits of a generalist role providing strong,
strategic, clinical and professional leadership for community nurses within Ayrshire and Arran.
Above: QNIS Fellows 2013
Above Julia and Angie attend the Queen’s Diamond Jubilee event in London, June 2012
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Margaret Brown (see photo below) was appointed to develop new approaches to the delivery of
community nursing. In particular she implemented three community wards, using tele-health
services to enable more people to live at home and reduce the frequency of hospital admission. A
second area of work was to promote the choice and opportunity to die at home, especially for
people living in nursing homes. Margaret found the CNC role was very demanding and eventually
moved to a part time basis.
At the end of the pilot project, QNIS commissioned a CNC role
evaluation, which reported in July 2013. The evaluation report was
positive about the CNC role; although it found that more robust
governance structures would have aided the implementation of the
post, the post holder was able to work in an inter-disciplinary setting to
bring senior colleagues together to develop integrated services to
improve person centred care.
Margaret Brown, Community Nurse Consultant (l
QNIS Annual Conference and workshop programmes 2004-2013
Over the last 10 years QNIS has
raised the profile of community
nursing through the provision of
an annual conference for
community nurses in Scotland (see
Table 8 in the appendix). These
conferences are held in different
venues throughout Scotland;
Glasgow especially attracts a good
attendance from community
nursing delegates. The
conferences aim to aid the
professional and practice
development of all nurses and
support workers working in the community. They are subsidised by QNIS as the fee charged only
covers the basic delegate cost. The themes running through all the conferences include leadership
and change management. The ICCHNR/QNIS International Conference in March 2013 was
particularly successful with 250 delegates attending from 19 countries worldwide.
QNIS Education Grants and Scholarships
Each year, QNIS funding provides community nurses with a wide variety of personal and professional
development opportunities. These grants provide an opportunity for community nurses to acquire
new skills and update their knowledge on clinical aspects of care.
Originally, the Kuenssberg Scholarship was created to recognise the contribution of Dr Ekke
Kuenssberg, a pioneer of Primary Care medical services in Edinburgh. He was a long term supporter
of the work of QNIS and recognised the value of district nursing. In 2003 a similar award was created
in the name of Brigid Stewart to provide a funding opportunity for public health nursing. The
Kuenssberg and Brigid Stewart awards were discontinued in 2010. Table 8 in the appendix gives a
breakdown of education grants and scholarships provided in the last 10 years. The accompanying
Ros Moore, Chief Nursing Officer for Scotland welcomes delegates to the
ICCHNR/QNIS conference
Bringing QNIS into the 21st
Century 15 | P a g e
chart in the appendix shows the commitment by QNIS to professional development through the
funding of Masters Modules each year.
Long Service Awards
QNIS has provided long service awards over
the years for both Queen’s Nurses and Community Nurses. The recognition of
dedication and loyalty to nursing over 21
years or more is most appreciated.
Left: NHS Lothian Long Service Awards Edinburgh 2012
Practice, Innovation and Research Activity
The second major area of QNIS activity to support excellence in community nursing is the promotion
of innovation in practice through research and project funding.
Millennium Award Scheme Funding
Before the restructuring of the organisation, innovation in practice activity straddled the GP& F
committee, Education and Projects Committees. For example, The QNIS Millennium Awards Scheme
‘Welcome to Wellbeing’ 2000–2003 in partnership with the Millennium Commission provided 156
Awards to individuals throughout Scotland and was directly accountable to QNIS GP&F Committee
(which later became QNIS Council). The funding programme promoted community development and
concluded with a showcase event of the Award winners in March 2003 at the SECC, Glasgow. MAS
evolved into the Nae Risk community development project, funded jointly by the Scottish Executive
and QNIS until 2005.
QNIS Project Funding
During 2004-5 the Projects Committee agreed to fund resuscitation equipment in partnership with
the Sandpiper Trust. These bags supplemented emergency health care in very rural locations where
there was no doctor. Ten years later the Sandpiper bags are still in use in Orkney and are maintained
in other locations by the NHS Highland Health Board. The Sandpiper bags are a good example of
innovating and testing new ideas of health care in rural areas.
In the intervening years, PIRC has grown in membership and developed skills of assessment of
funding applications. PIRC meets twice or three times per year to review submitted project
proposals for consideration of QNIS project funding. Projects must be seen to be feasible and
directly benefit the health and wellbeing of people living in the community. It is important not to set
up novice project leads to fail in carrying out an overly ambitious project. However, PIRC is also
aware that Health Boards who have a funding shortfall may also try to use QNIS project funding for
work that they have a duty to carry out themselves.
The definition of a project is quite broad; it may involve primary research to increase the evidence
base for community nursing; the development of an innovation in practice; the implementation of
research knowledge into practice; or even an evaluation of a practice development. The Bumps,
Baby and Beyond Project Vignette provides an example of how QNIS project funding has enabled
practice development in Dundee.
Bringing QNIS into the 21st
Century 16 | P a g e
QNIS Research funding
As part of the drive to expand the community nursing evidence base, QNIS has tried several different
approaches to promoting community nursing research over the years. Research is a time consuming
and expensive activity, large scale studies are beyond the reach of QNIS, as well as requiring huge
investment in professional development. However, small scale innovative studies to pilot an idea can
be beneficial in providing a baseline for further investigation and provide an opportunity for
personal development.
Small scale studies
Early into the 21st
century, QNIS funded small research studies led by community nurses. Professor
Jean McIntosh provided workshops to enable community nurses hone their research proposals with
a view to being funded by QNIS. For example in 2004, three research bursaries were awarded:
An evaluation of a telephone helpline for breastfeeding mothers in Dundee (NHS Tayside)
An exploration of issues around district nursing workload (NHS Lothian)
A repeat of baseline measures to ascertain evidence of health improvement from attendance
at a health and wellbeing clinic (NHD Greater Glasgow and Clyde)
The research funding available of up to £10,000 was possibly considered insufficient and later
attracted few small research projects. In 2006, the Education Committee decided to offer a Research
Fellowship in alternate years, using the whole budget for the two-year period.
Lisbeth Hockey Community Nursing Research Fellowships 2004-2010
Dr Lisbeth Hockey (1918-2004), an eminent nurse researcher and philosopher, was a great supporter
of QNIS. She served as a member of the Education Committee and as a member of Council over a
period of 37 years. Her legacy was to instil the need to develop an evidence base for community
nursing. The Lisbeth Hockey Community Nursing Research Fellowships were created in 2004 to
recognise both her contribution to research and QNIS. The outputs from three Fellowships are
described in the vignette below.
The aim of the Lisbeth Hockey Community Nursing Research Fellowships was to promote capacity
for community nursing research in Scotland. Three Lisbeth Hockey Community Nursing Research
Fellowships were awarded and were led by an academic institution. The Fellowships enabled nurses
with a specialist community qualification to improve research knowledge and skills and also
provided part-time experience of carrying out a small project as part of a larger nursing research
team.
2004: Exploring older persons’ involvement in decision making about their care, within the
context of single shared assessment undertaken by members of the District Nursing Team
Glasgow Caledonian University
2006: An analysis of community nurses’ support for self-care with patients who have long
term conditions; Robert Gordon University.
2008: Participating in the research process: The development of an intervention for the
secondary prevention of stroke Glasgow Caledonian University.
An in house evaluation showed mixed results from the Fellowship programme. A major strength for
the Lisbeth Hockey Fellows was the opportunity to be involved in a research study and to gain a
greater understanding of carrying out research. One Fellow later moved on to a new role of
Bringing QNIS into the 21st
Century 17 | P a g e
modernisation of nursing in the community and found her new knowledge was of major benefit in
the development of questionnaires to community nursing staff.
There were many challenges to the programme; combining community nursing practice and
research commitments in the tight time scales was difficult. Secondly, although there were
opportunities to prepare a PhD proposal, the Fellows considered that this was too academic a route.
An unexpected consequence was that junior academic staff were denied this research experience.
Thus there was no guarantee that the skills learnt were sustainable.
Although the Lisbeth Hockey Community Nursing Research Fellowship provided a unique
opportunity for practitioners to become skilled in research, it was expensive and there was
insufficient QNIS funding for it to continue. The involvement of practicing community nurses in
projects was later taken on board in QNIS Funded projects. Community nurses now play a greater
role in projects and especially in The Delivering Dignity Grants programme.
The experience gained from the Lisbeth Hockey Research Fellowships has informed the development
of QNIS funded projects. When agreeing funding, PIRC often now requests that a practitioner from
practice is included as part of the project team. As practitioners gain a taste for research or project
management, the skill set of community nursing is enhanced, in turn benefitting other areas of
practice development.
Mary Jane Carr Awards
Following a bequest from Mrs Mary Jane Carr, QNIS commissioned the funding for two research
studies in 2009. Queen Margaret University carried out a study ‘Leadership in Community Nursing’ and University of Edinburgh carried out a study entitled ‘Leadership: Understanding community nursing in Scotland.’ The reports of these studies can be found on QNIS website in the resources
section.
Delivering Dignity Grants Programme
In 2012, QNIS became a Funding Partner of the Burdett Trust for Nursing to deliver a Delivering
Dignity Grants programme. Ensuring respect and maintaining the dignity of older people is pertinent
to the role of all nurses working in community based settings. The failure to deliver dignity in the
care of older people in care homes and long stay institutions has been well documented in the
media and highlights the need to change the ageist attitudes frequently displayed in the care of
older people. The challenges of delivering dignity in the care of older people require nurses to
provide strong leadership to improve nursing care standards and to redress age discrimination, as
well as ensuring equitable access to treatment and care.
This Dignity Grants programme is thus very important to promote a common understanding of
dignity across disciplines, services and care settings. A list of the exciting QNIS funded projects is in
the appendix.
QNIS Partnership in Practice Scotland (PiPS)
The Partnership in Practice Scotland Awards (PiPS) were originally conceived by the QNIS Education
Committee to facilitate the development of partnership working to improve the quality of life for
people and communities. Small grants of £1000 were made originally but later these were increased
to £2,000. The award was later overseen by the Projects Committee, which became the Practice
Innovation and Research Committee. These small grants provided an opportunity for community
nurses to try out new ideas and some were very successful. For example, the delivery of a 10 week
Bringing QNIS into the 21st
Century 18 | P a g e
programme for people recently diagnosed with diabetes enabled greater individual understanding
and responsibility for health.
QNIS Partnership in Research Scotland (PiRS)
It was recognised that the development of a project proposal is time consuming and requires
support and guidance. The Partnership in Research Scotland (PiRS) award was introduced to enable
community nurses with ideas for practice development, but with limited experience of developing a
proposal, to access expert help and direction.
The impact of QNIS funding and activity
QNIS has a positive impact on community nursing professional and practice development, but it is
difficult to measure or capture. Community nurses have told us how QNIS conferences and
workshops have motivated them to improve patient care. Likewise, research funding has helped to
inform the evidence base. For example, a study entitled ‘Leadership: Understanding Community
Nursing in Scotland’ carried out by Dr Elaine Haycock-Stuart, from the University of Edinburgh
identified how leadership was driven by top down policy and that front line community nurses had
little influence into its delivery. The impact of QNIS funding the study has been that the research
team has gained recognition for quality research and have presented their findings at 15
conferences (both national and international) and published in seven journal articles.
Conclusion
QNIS continues to fill a niche in supporting the practice and professional development of community
nursing in Scotland. The welfare of the retired Queen’s Nurses also remains important to the organisation; the Annual Gathering at Crieff is one of the annual highlights for QNIS staff and
colleagues.
This historical record of QNIS organisational changes and activity over the last decade details how it
has modernised its constitution and structures significantly. These changes have enabled QNIS to
match its activity both to its constitution and to the promotion of excellence in community nursing.
This broad range of activity has the piloting of new roles, the development and dissemination of the
evidence base underpinning primary care and community nursing at its centre. Moreover, QNIS has
a role not only to enable primary care and community nurses to understand national policy and its
implications for practice, but to make sure that their voice is heard. Latterly, the role has
encompassed an international perspective too.
There have been many highlights over the last 10 years; to name only three would perhaps include
the Burdett Trust for Nursing Funding award of the Delivering Dignity projects; the invitation to the
Queen’s Jubilee London Celebrations and the Edinburgh ICCHNR/QNIS Conference. QNIS has indeed
gone from strength to strength. It has been a great 10 years.
However, QNIS cannot do this activity alone; it is grateful for the support from Scotland’s Gardens and partner organisations. QNIS committees are well supported by colleagues who give their time
and commitment freely. The Volunteer Visitors monitor the needs of retired Queen’s Nurses and volunteers also help out with conferences and workshops.
Once again many thanks to you all for making QNIS such a success.
Bringing QNIS into the 21st
Century 19 | P a g e
Works Cited
Queen Victoria's Jubilee Institute for Nurses,. (1926). The call of the nurse. Edinburgh: Queen
Victoria's Jubilee Institute for Nurses.
Queen's Institute of District Nursing. (1941). Queen's Institute of District Nursing. Edinburgh: Queen's
Institute of District Nursing.
Bradbury Jones, C. (2011). Analysis of the Queen's Nursing Institute Scotland's Educational,
Professional Development,Welafrea nad Project Activity. Edinburgh: Bradbury Jones, C.
CPHVA. (2003). District nursing atthe crossroads - a CPHVA perspective. London: CPHVA.
NHS Scotland. (2005). Building a health service fit for the future. Edinburgh: Scottish Executive.
Queen Victoria's Jubilee Institute for Nurses. (1920). The story of the Queen's Nurses in Scotland.
Edinburgh: Queen Victoria's Jubilee Institute for Nurses.
Queen's Institute of District Nursing. (1943). Handbook for Queen's Nurses. London: Faber and Faber.
Queen's Institute of District Nursing. (1947). Queen's Nurse. Dunoon, Scotland: Queen's Institute of
District Nursing.
Queen's Nursing Institute Scotland. (2007). Responses to ‘Visible, accessible and integrated care’ –
the practitioners’ voice. Edinburgh: Queen's Nursing Institute Scotland.
Smith, J. (2000). A Queen's way. Edinburgh: Maccustom Press, Maxton, Scottish Borders.
The Queen's Nursing Institute. (2010). Nursing people at home. London: The Queen's Nursing
Institute.
The Queen's Nursing Institute and English National Board. (2002). District nursing: The invisible
workforce. London: English National Board.
The Scottish Government. (2006). Visible, Accessible and Integrated Care, Report of the Review of
Nursing in the Community in Scotland,. Edinburgh: The Scottish Government.
Appendix
Table 1 QNIS Council Trustees 2014 and previous members
QNIS Patron HM Queen Elizabeth
Current QNIS Council Trustee
Date Name Committee Role
2010-present Miss Anne Jarvie Chair
2008
2011
Dr Mike Winter Council member
Vice Chair
2011- present Jane Walker Honorary Secretary
2008 - present John Lawrie Honorary Treasurer
2007- present Prof Julie Taylor
QNIS Honorary Fellow
Council Trustee
2003- present 2011- present Jane Cantrell
QNIS Honorary Fellow
Council member
Chair EPDC
2012- present David Boswell Council Trustee/Fund manager remit
2012-present Robin Morton Council Trustee
2012-present Irene Bonnar Council Trustee
2014 Linda Pollock Council Trustee
Bringing QNIS into the 21st
Century 20 | P a g e
Previous Council Members in last 10 years
1993-2002 Lady Vanessa Prosser
QNIS Honorary Fellow
Chair
2002-2010 Sir David Carter
QNIS Honorary Fellow
Chair
1997-2011 Prof Jean McIntosh
QNIS Honorary Fellow
Vice Chair
Chair Education Committee (later EPDC)
2003-2005 Lorraine Simpson Honorary Secretary
2005-2011 Merrill Whalen
QNIS Honorary Fellow
Honorary Secretary
1999-2008 Ronnie Sinclair Honorary Treasurer
1978-2007 Shirley Ballantyne Council member
1970-2007 Lady Lilias Cromartie Council member
2001-2007 George Russell Council member
2007-2012 John Griffiths Council Trustee
2000-2004 Dr Fiona MacLaren Council member
1990-2012 Ian Watt Council member/ Fund Manager remit
2002-2006
Jane Harris
QNIS Honorary Fellow
Council & EPDC member
2005-2007
2002
Alison Jarvis
QNIS Honorary Fellow
Council and
EPDC member
2004-2007 Dr Allison Worth Council member & Chair of Joint Nursing
Committee
2006-present Prof Debbie Tolson
QNIS Honorary Fellow
Chair of Practice Innovation and Research
Committee
2007-2012 Rona Agnew Council Trustee
Table 2 QNIS Honorary Fellows
2003 Professor Jean McIntosh
2003 Miss Sheila Gentle
2010 Ruby Matheson
2010 Professor Debbie Tolson
2010 Jane Harris
2010 Jane Cantrell
2010 Dolly McCann
2011 Maxine Moy
2011 Alison Jarvis
2011 Christina Thomson
2011 Merrill Whalen
2011 Sir David Carter
2012 Andrina Gordon
2012 Isabelle McDonald
2012 Lady Vanessa Prosser
2012 Kathleen Rourke
2013 Ros Moore
2013 Anne Kennedy
2013 Julie Harvey
2013 Professor Julie Taylor
Table 3 QNIS Advisory Committee 2013
(previously Joint Nursing Committee)
Name QNIS Role
Prof Julie Taylor Chair of Advisory Committee
Jane Cantrell EPDC Chair (Formerly Education
Committee)
Prof Debbie Tolson PIRC Chair (Formerly Projects
Committee)
Mrs Jane Walker Honorary Secretary
Julia Quickfall QNIS Nurse Director
Angie Henney QNIS Projects Co-ordinator
Fiona Watson QNIS Treasurer
Table 4 QNIS Education and Research Committee 2013 (formerly Education Committee)
Name QNIS Role/Institution represented
Jane Cantrell EPDC Chair
Jane Harris EPDC Vice Chair
Dr Julia Quickfall QNIS Nurse Director
Angie Henney QNIS Projects Co-ordinator
Bringing QNIS into the 21st
Century 21 | P a g e
Dr Elaine Haycock-Stuart University of Edinburgh
Caroline Dickson Queen Margaret University
Alison Jarvis NHS Lothian
Dolly McCann Queen Margaret University
Debbie McGraw RCN
Jackie McFayden University West of Scotland
Lee Anne Mitchell QNIS Executive Secretary
Fiona Watson QNIS Treasurer
Table 5 Practice Innovation and Research Committee (previously Projects Committee)
Name QNIS Role/Institution represented
Professor Debbie Tolson PIRC Chair
Linda Smith PIRC Vice Chair
Dr Julia Quickfall QNIS Nurse Director
Angie Henney QNIS Projects Co-ordinator
Fiona Watson QNIS Treasurer
Lee Anne Mitchell QNIS Executive Secretary
Mrs Jane Walker Honorary Secretary
Dr Rhona Hogg Napier University/NHS Lothian
Fiona Cook Improvement Advisor, Releasing Time to Care, Health Improvement Scotland
Penny Bond Health Improvement Scotland
Margaret Tannahill Care Inspectorate
Ron Johansen Senior Lecturer Glasgow Caledonian University / Nurse Consultant (NHS 24)
Dr Caroline Bradbury-Jones University Dundee/Manchester
Table 6 Welfare Committee members and Voluntary Visitors 2013
Welfare Committee member QNIS Role
Miss Anne Jarvie Chair
Jane Walker Honorary Secretary
Julia Quickfall QNIS Nurse Director
Dawn Cruse QNIS Administration and Welfare Officer
QNIS Volunteer Visitors Area covered
Miss Margaret Burnett Angus
Mrs Christine Feltham Perthsire
Mrs Janette Kennedy West Lothian
Mrs Muriel Lind Dunshalt, Cupar, Fife
Mrs Angela MacDonald Ross-shire
Mrs Isobel MacDonald Isle of Skye
Mrs Elsie Mackenzie Caithness
Mrs Catherine MacLeod Ross-shire
Mrs Ruby Matheson Glasgow
Mrs Morag Miller Ayrshire
Mrs Catherine Morrison Lewis
Mrs Kathleen Rourke LARGS, Ayrshire
Mrs Annie Stephen Aberdeenshire
Mrs Ann Thomson Huntly
Mrs Hazel Turner Kirkcudbrightshire
Mrs Isabelle Wilson East Lothian
Mrs Cathy Wilson Edinburgh
Ms Phyllis Runciman Edinburgh
Mrs Maxine Moy Fife
Mrs Kay Boyde Glasgow
Bringing QNIS into the 21st
Century 22 | P a g e
Table 7 QNIS Fellows 2013
Year Name NHS Board Area
2003 Elaine Allen NHS Grampian
2003 Elizabeth Brown NHS Grampian
2003 Lis Cook NHS Grampian
2003 Sandra Muirson NHS Grampian
2003 Shona Davidson NHS Highland
2003 Kate Richardson NHS Highland
2003 Christine Nicholson NHS Highland
2004 Anne McMorrow NHS Greater Glasgow and Clyde
2004 Julie Harvey NHS Greater Glasgow and Clyde
2006 Linda Wilson NHS Fife
2006 Pauline Waugh NHS Lothian
2007 Anne McDaid NHS Greater Glasgow and Clyde
2007 Cheryl Adair NHS Greater Glasgow and Clyde
2007 Helen Pickering NHS Greater Glasgow and Clyde
2008 Marion Millward NHS Borders
2008 Irene Bannerman NHS Greater Glasgow and Clyde
2008 Wilma Cowie NHS Greater Glasgow and Clyde
2008 Clare Stiles NHS Shetland
2008 Maggie Drosso NHS Shetland
2009 Margaret Taylor NHS Borders
2009 Karen Hemple NHS Greater Glasgow and Clyde
2009 Margaret Umeed NHS Greater Glasgow and Clyde
2009 Marion Taylor NHS Greater Glasgow and Clyde
2010 Rhona Cameron NHS Forth Valley
2010 Brenda Kirk NHS Greater Glasgow and Clyde
2010 Liz Millar NHS Greater Glasgow and Clyde
2010 Vivienne Davidson NHS Greater Glasgow and Clyde
2010 Audrey Demetriou NHS Lanarkshire
2010 Elizabeth Roberts NHS Shetland
2011 Diane Sharp NHS Forth Valley
2011 Kim Conroy NHS Forth Valley
2011 Leanne Connell NHS Greater Glasgow and Clyde
2011 Liz Murray NHS Tayside
2012 Helen Ramsay NHS Lothian
2013 Eileen McLeod NHS Shetland
2013 Susan Cooper NHS Shetland
Bringing QNIS into the 21st
Century 23 | P a g e
Table 8 QNIS Annual conferences and workshops 2003-2013
Date Title Venue
2004 LHCC Lead Nurse Network
Mental health is everybody’s business
Edinburgh
2004 QNIS Annual Conference
Leadership –Making it happen
Education Centre
Stirling Royal Infirmary
2005 QNIS Annual Conference
Changing face of Primary Care
Wolfson Building, University of Glasgow
2005/6 Nae Risk Training DVD workshops Six workshops in Scotland including
Strathcarro, Aberdeen, Glasgow,
Edinburgh and Skye
2005 National RONIC workshop – views on CHN of district nurses Pfizer offices
Edinburgh
2006 QNIS Annual Conference
Nurses delivering health in the community
Dynamic Earth
Edinburgh
2007 QNIS Annual Conference
Visible accessible and integrated care: making community
nursing in Scotland fit for purpose
Beardmore Conference Centre, Glasgow
2008 QNIS Annual Conference
Promoting Innovation in Community Nursing in Scotland
Stirling Management Centre
2008 Comparing and contrasting the current principles and
professional values underpinning health visiting, district nursing,
school nursing and family health nursing.
Professional discussion
Stirling Management Centre
2009 QNIS Annual Conference
Community nursing: The Scottish picture
Beardmore Conference Centre, Glasgow
2009 Putting community nursing values into practice- professional
discussion
Stirling Management Centre
2009 150 years of District Nursing Exhibition Crieff Hydro
Perthshire
2010 The future of community nurse Education (in collaboration with
RCN and NHS Education for Scotland
RCN HQ
Edinburgh
2010 QNIS Annual Conference
Leadership in community nursing
Crieff Hydro
Perthshire
2010 Demonstrating the quality of community nursing care -
professional discussion
Stirling Conference Centre
2011 Making the most of your community nursing teams workshops Stirling
Aberdeen
Glasgow
Dunfermline
2011 QNIS Annual Conference
Promoting Excellence in Community Nursing
Radisson Blu
Edinburgh
2012 150 years Public Health Nursing Crieff Hydro
Perthshire
2012 QNIS Annual Conference
Cutting the coat to fit the cloth
Beardmore Conference Centre, Glasgow
2012 Using Technology to promote person centred care workshops Stirling
Aberdeen
Glasgow
Dunfermline
2013 Transforming Community Health
ICCHNR/QNIS International Conference
John McIntyre Conference Centre
Pollock Halls Edinburgh
2013 Influencing Integration Seminars Edinburgh
Glasgow
Bringing QNIS into the 21st
Century 24 | P a g e
Table 9 QNIS Education and Research/EPDC Grants 2003-2013
Year Award Details
2003 8 PiPS Partnership in Practice
2003 24 Education Grants CPD
2003 Kuensberg Scholarship Kathleen Mckendry
2003 Research Grant History of community Nurses in the Western Isles
2004 8 PiPS Partnership in Practice
2004 24 Education Grants CPD
2004 Kuensberg Scholarship Alison Bryce
2004 Brigid Stewart Scholarship Louise McKenzie
2004 Research Grant Bosom Buddies
2004 Research Grant District Nursing workload
2004 Research Grant Health and Wellbeing Clinic
3 PiPS Partnership in Practice
2005 28 Education Grants CPD
2005 Kuensberg Scholarship Susie Gamble
2005 Brigid Stewart Scholarship Angela Gray
2005 LH Research Fellowship Glasgow Caledonian University
2006 LH Research Fellowship Robert Gordon University
14 Education Grants
4 PiPS
2007 12 Kuensberg and Brigid Stewart Bursaries SPQ Fees only basis
2007 35 Education Grants CPD
2007 7 PiPs Partnership in Practice
2008 LH Research Fellowship Glasgow Caledonian University
2008 Mary Jane Carr Queen Margaret University
University of Edinburgh
2008 CHN Project Focus Groups
2008 28 Education Grants CPD
2008 10 Kuensberg and Brigid Stewart Bursaries SPQ Fees only basis
2008 4PiPS Partnership in Practice
2009 13 Education Grants 5 CPD, 8MSc. courses and modules
2009 19 Kuensberg and Brigid Stewart Bursaries SPQ Fees only basis
2010 25 Education Grants
10 CPD, 14 MSc.
1 PhD courses and modules
2010 8 Kuensberg and Brigid Stewart Bursaries 8 SPQ Fees only basis
2011 19 Education Awards Kuensberg and Brigid Stewart Bursaries no longer
available
8 CPD, 9 MSc, 2 PhD courses and modules
2012 11 Education Awards 1 CPD, 2 SPQ, 7 MSc, 1PhD courses and modules
2013 21 Education Awards 10 SPQ and 11 MSc courses and modules
Bringing QNIS into the 21st
Century 25 | P a g e
Chart 1 Numbers of Education Grants awarded by QNIS
for PhD, Masters, CPD and SPQ courses 2008-2013
Table 10 QNIS PIRC Projects Funded 2002-2013
Final reports can be accessed on the QNIS website, www.qnis.org.uk under various headings in the
Resources section.
Year Project Title Lead Organisation
2000 -2005 Millennium Award Scheme/Nae Risk QNIS
2001 Domestic Abuse project Napier University
2002 Gerontology Demonstration Project Glasgow Caledonian University
2002 Getting overseas Professionals into Practice
(GOPIP)
Glasgow Caledonian University
2002 Public Health Practitioner Project NHS Greater Glasgow
2003 SAM Men’s Health Initiative NHS Shetland
2003 Sandpiper Trust Bags In conjunction with Scotland’s Gardens to Foula,
Aharachle, Papa Westry and Bressay
2003 Motor Skills Group Project NHS Tayside
2004 Gerontology Project
Maximising communication with the elderly
Glasgow Caledonian University
2004 Multi-agency Leadership NHS Argyll and Bute
2004 GOPiP Further funding
2004 Dementia Learning Resource Iris Murdock Dementia Centre
2005 Smoking Cessation in later life Glasgow Caledonian University
2005 Butterfly Befriending Programme evaluation Queen Margaret University
2005 Development of local health Visitors work with the
community in Piershill area of Edinburgh
NHS Lothian
2005 Motivational interview training NHS Lothian
2006 Nocturia Glasgow Caledonian University
2006 The management of minor illness Community of
Practce
Glasgow Caledonian University
2006 Structured Diabetes Education NHS Lanarkshire
2007 Healthy Hebrideans NHS Western Isles
2007 Interstitial Cystitis Handbook COB Foundation
2007 TIME to start dressings NHS Greater Glasgow
2007 Shetland Carers Group NHS Shetland
2007 Bumps Baby and Beyond NHS Tayside
0 5 10 15 20
2013
2012
2011
2010
2009
2008
Phd
Masters
CPD
SPQ
Bringing QNIS into the 21st
Century 26 | P a g e
2007 Barriers to care services among women with
domestic abuse experiences in Fife
NHS Fife
2007 Refining Care Management (Learning Disabilities) NHS Ayrshire and Arran
2008 Positive Parenting Interventions NHS Lothian
2008 Tobacco and alcohol use in people who have a
learning disability
Glasgow Caledonian University
2008 A virtual learning resource to support advanced
nurse practitioners
NHS Orkney
2008 Sexual Health in Angus DVD NHS Tayside
2009 5 Partnership in Practice Scotland Awards
2009 2 Partnership in Research Awards
2009 Evaluation of Case Supervision for Child protection Robert Gordon University
2009 Partnerships in Practice Glasgow Caledonian University
2009 Dementia Care Models University of Dundee
2009 Sensory Garden project NHS Greater Glasgow &Clyde Health Board
2009 Pilot of a health promoting residential unit NHS Greater Glasgow & Clyde Health Board
2009 Enhancing Community Nursing Research Capacity Glasgow Caledonian University
2010 Developing and testing a dignity conserving
intervention
University of Dundee
2010 The contribution of perceived stress in stroke Glasgow Caledonian University
2011 3 Travel Fellowships
2011 2 Partnership in Practice Scotland Awards
2011 Asthma care plans University of Stirling
2011 Heart failure self care Glasgow Caledonian University
2011 Adult protection knowledge exchange NHS Borders
2012 1 Travel Fellowship
2012 Health visitors’ role in assessing oral health in children
University of Dundee and NHS Fife
2012 Mindfulness based stress reduction life world
study
Edinburgh Napier University
2012 Midwifery an evaluation of child protection case
supervision
NHS Grampian/RGU
2013 Carers respite information University of Dundee
2013 History Project Glasgow Caledonian University
2013 Exploring the experiences of patients attending
day hospitals in the Borders: A pilot study
NHS Borders
Table 11 Delivering Dignity Projects 2013
Project Title Project Leads
Relational caring Conversations Prof Belinda Dewar, University West of Scotland
Michael Donovan, Care Home Manager
Awareness of Sensory Impairment Dr Annetta Smith, University of Stirling
Karen Macleod Community Staff Nurse
Being Mindful of the Carers Gillian Davies, Practice Education Facilitator /CMH Nurse
Wendy O’Ryan, Care Home Education Facilitator
Drink-Up to Reduce Infection Joanne Booth, Glasgow Caledonian University
Rona Agnew, NHS GGC
Food for Thought Val Logan, Haig House Manager
Pauline Banks, University of West of Scotland
Living Well with Dementia Dr Bridget Johnston, University of Dundee
Dr Sally Lawton, NHS Grampian